Wide-pulse electrical stimulation to an intrinsic foot muscle induces acute functional changes in forefoot-rearfoot coupling behaviour during walking.

Journal article


James, DC, Chesters, T, Sumners, DP, Cook, DP, Green, DA and Mileva, K. (2012). Wide-pulse electrical stimulation to an intrinsic foot muscle induces acute functional changes in forefoot-rearfoot coupling behaviour during walking. International Journal of Sports Medicine. 34 (5), pp. 438-443. https://doi.org/10.1055/s-0032-1321893
AuthorsJames, DC, Chesters, T, Sumners, DP, Cook, DP, Green, DA and Mileva, K.
Abstract

Interventions for strengthening intrinsic foot muscles may be beneficial for rehabilitation from overuse injuries. In this study the acute effects of high-frequency, low-intensity wide-pulse electrical stimulation (WPS) over an intrinsic muscle on subsequent foot function during walking was assessed in healthy participants. WPS was delivered to the m. abductor hallucis (m.AH) of the non-dominant foot during relaxed standing. 3-dimensional forefoot (FF)--rearfoot (RF) coordination was quantified with a vector coding technique within separate periods of the stance phase to study WPS functional effects on foot motion. 4 types of coordinative strategies between the FF and RF were interpreted and compared PRE-to-POST-WPS for both the experimental and control feet. Bilateral electromyography (EMG) from m.AH was analysed during the intervention period for evidence of acute neuromuscular adaptation. The results showed that WPS significantly modulated FF-RF coordination during mid-stance, indicative of a more stable foot. Specifically, a statistically significant increase in FF eversion with concomitant RF inversion in the frontal plane and RF-dominated adduction in the transverse plane was observed. Subject-specific increases in post-stimulus m.AH EMG activation were observed but this was not reflected in an overall group effect. It is concluded that the structural integrity of the foot during walking is enhanced following an acute session of WPS and that this mechanical effect is most likely due to stimulation induced post-tetanic potentiation of synaptic transmission.

Keywordsrehabilitation; wide-pulse electrical stimulation; foot; kinematic coupling; post-tetanic potentiation; Foot; Muscle, Skeletal; Humans; Electromyography; Walking; Analysis of Variance; Electric Stimulation; Adaptation, Physiological; Biomechanics; Adult; Female; Male; Adaptation, Physiological; Adult; Analysis of Variance; Biomechanical Phenomena; Electric Stimulation; Electromyography; Female; Foot; Humans; Male; Muscle, Skeletal; Walking; 1106 Human Movement And Sports Science; 0913 Mechanical Engineering; Sport Sciences
Year2012
JournalInternational Journal of Sports Medicine
Journal citation34 (5), pp. 438-443
PublisherThieme
ISSN1439-3964
Digital Object Identifier (DOI)https://doi.org/10.1055/s-0032-1321893
Web address (URL)https://www.thieme-connect.com/products/ejournals/html/10.1055/s-0032-1321893
Publication dates
Print11 Oct 2012
Publication process dates
Deposited31 May 2018
Accepted02 Jul 2012
Accepted author manuscript
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Open
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